Comparison of Cone-Beam Computed Tomography and Multislice Computed Tomography in the Assessment of Extremity Fractures
| Autor: | Aicha Ltaief-Boudrigua, Karim Tazarourte, Jérôme Mouly, Jean-Baptiste Pialat, Amanda Martinon, Stéphane Tilhet-Coartet, Thibaut Dubreuil |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Cone beam computed tomography Image quality Radiation Dosage Sensitivity and Specificity 030218 nuclear medicine & medical imaging Fractures Bone 03 medical and health sciences 0302 clinical medicine Bones of Lower Extremity Multidetector Computed Tomography Radiologists Humans Medicine Radiology Nuclear Medicine and imaging Prospective Studies Ao classification business.industry Multislice computed tomography Cone-Beam Computed Tomography Confidence interval Distal limb Radiographic Image Enhancement Patient tolerance Extremity fractures Patient Compliance Female Bones of Upper Extremity business Nuclear medicine 030217 neurology & neurosurgery |
| Zdroj: | Journal of Computer Assisted Tomography. 43:372-378 |
| ISSN: | 0363-8715 |
| Popis: | Objectives The aims of this study were to evaluate the agreement between cone-beam computed tomography (CBCT) and multislice computed tomography for the characterization of extremity fractures and to compare image quality, radiation dose, and patient tolerance. Methods Thirty-six patients with suspected fracture affecting distal extremities or who required preoperative fracture assessment were enrolled prospectively. Each patient underwent CBCT and multislice computed tomography the same day. Both examinations were evaluated independently twice by 2 trained radiologists using the Muller AO classification for fracture characterization. Results Cohen κ coefficient for agreement between the imaging techniques was almost perfect for fracture characterization, κ = 0.94 [95% confidence interval, 0.91-0.98]. There was substantial to almost perfect agreement for secondary findings. Cone-beam computed tomography was well tolerated and significantly less irradiant and had better subjective image. Conclusions An excellent agreement between both imaging techniques was found. This confirms the ability of CBCT to assess fractures and its potential in the management of patients with distal limb trauma. |
| Databáze: | OpenAIRE |
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